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<title>WH Order Wizard</title>
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span{
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<body style="font-family:Arial, Helvetica, sans-serif">
<form method = "post" action = "">
<h1>Total Itmes with special request</h1>
<table width="800" border="1" cellspacing="1" cellpadding="5">
	<tr>
		<th>Description</th>
		<th colspan = "2">AUS Feedback</th>
		<th>China Feedback</th>
		<th>Register Date</th>
		<th>Order</th>

	</tr>
	<tr>
		<td align = "center">iwatch case</td>
		<td align = "center"><select>
							<option value = "Reply in 7 days">Reply in 7 days</option>
							<option value = "Restock in 14 days">Restock in 14 days</option>
							<option value = "Will not Order">Will not Order</option>
							<option value = "In transport">In transport</option>
							</select></td>
		<td align = "center">Comment:<input type = "text" name = "aus_comment" id = "aus_comment"></input></td>					
		<td align = "center"><select>
							<option value = "Reply in 7 days">Reply in 7 days</option>
							<option value = "Restock in 14 days">Restock in 14 days</option>
							<option value = "Will not Order">Will not Order</option>
							<option value = "In transport">In transport</option>
							</select></td>
		<td align = "center">2014-09-10</td>
		<td align = "center"><input type = "checkbox" name = "order_select" id = "order_select" ></input></td>					
		
	</tr>

</table>
<br/><br/>			
<input type = "submit" name = "next" id = "next" value = "Next" style = "margin-left:750px;"></input>
</form>
</body>
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